Individual
COREY DEDMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4923 PATAGONIA PL, LAND O LAKES, FL 34638-3733
(813) 862-8341
Mailing address
4923 PATAGONIA PL, LAND O LAKES, FL 34638-3733
(813) 862-8341
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN11020067
FL
Other
Enumeration date
06/06/2022
Last updated
06/06/2022
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